Utilisation of Medicare-funded schemes for people with cardiovascular disease

Julie Redfern; Karice Hyun; Emily Atkins; Clara Chow; Tom Briffa; Bindu Patel; Nick Zwar; Tim Usherwood; Qiang Li; Anushka Patel; David Peiris

doi:10.1071/PY16166

Utilisation of Medicare-funded schemes for people with cardiovascular disease

Julie Redfern^*, Karice Hyun, Emily Atkins, Clara Chow, Tom Briffa, Bindu Patel, Nick Zwar, Tim Usherwood, Qiang Li, Anushka Patel, David Peiris

^*Corresponding author for this work

Research output: Contribution to journal › Article › Research › peer-review

4 Citations (Scopus)

Abstract

The aim of this study is to investigate the utilisation of Medicare Benefit Scheme items for chronic disease in the management of cardiovascular disease (CVD) in general practice and to compare characteristics of CVD patients with and without a General Practice Management Plan (GPMP). Subgroup analysis of Treatment of Cardiovascular Risk using Electronic Decision Support (TORPEDO) baseline data was collected in a cohort comprising 6123 patients with CVD. The mean age (s.d.) was 71 (±13) years, 55% were male, 64% had a recorded diagnosis of coronary heart disease, 31% also had a diagnosis of diabetes and the mean number of general practice (GP) visits (s.d.) was 11 (±9) in 12 months. A total of 1955/6123 (32%) received a GPMP in the 12 months before data extraction; 1% received a Mental Health Plan. Factors associated with greater likelihood of receiving a GPMP were: younger age, had a diagnosis of diabetes, BMI > 30kgm-2, prescription of blood pressure-lowering therapy and more than ten general practice visits. Enhancing utilisation of existing schemes could augment systematic follow up and support of patients with CVD.

Original language	English
Pages (from-to)	482-488
Number of pages	7
Journal	Australian Journal of Primary Health
Volume	23
Issue number	5
DOIs	https://doi.org/10.1071/PY16166
Publication status	Published - 1 Jan 2017
Externally published	Yes

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abstract = "The aim of this study is to investigate the utilisation of Medicare Benefit Scheme items for chronic disease in the management of cardiovascular disease (CVD) in general practice and to compare characteristics of CVD patients with and without a General Practice Management Plan (GPMP). Subgroup analysis of Treatment of Cardiovascular Risk using Electronic Decision Support (TORPEDO) baseline data was collected in a cohort comprising 6123 patients with CVD. The mean age (s.d.) was 71 (±13) years, 55% were male, 64% had a recorded diagnosis of coronary heart disease, 31% also had a diagnosis of diabetes and the mean number of general practice (GP) visits (s.d.) was 11 (±9) in 12 months. A total of 1955/6123 (32%) received a GPMP in the 12 months before data extraction; 1% received a Mental Health Plan. Factors associated with greater likelihood of receiving a GPMP were: younger age, had a diagnosis of diabetes, BMI > 30kgm-2, prescription of blood pressure-lowering therapy and more than ten general practice visits. Enhancing utilisation of existing schemes could augment systematic follow up and support of patients with CVD.",

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AU - Atkins, Emily

AU - Chow, Clara

AU - Briffa, Tom

AU - Patel, Bindu

AU - Zwar, Nick

AU - Usherwood, Tim

AU - Li, Qiang

AU - Patel, Anushka

AU - Peiris, David

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Utilisation of Medicare-funded schemes for people with cardiovascular disease

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